FRANK R HOWARD FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FRANK R HOWARD FOUNDATION (EIN 94-1196197)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-19
IRS object ID
202202629349100700
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-19T18:09:57-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118500 VON KARMAN AVE 10TH FLOORAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941196197EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANK R HOWARD FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFRANBusinessNameControlTxt
Phone7074592777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1THREE MARCELA DRIVE SUITE AAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARNIE MELLOPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7074592777PhoneNum
Signature2022-08-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstARNIEPersonFirstNm
Person LastMELLOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN YACKERPreparerPersonNm
PTINP00401346PTIN
Phone9492222999PhoneNum
Preparation2022-08-22PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$17,712,457FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$38,305ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$1,830InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,830InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$347,798DividendsRevAndExpnssAmt
Dividends Net Invst Incm$347,798DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$842,339GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$842,339GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$842,339NetRentalIncomeOrLossAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,781,565OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$1,695,546OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$55,000OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$3,011,837TotalRevAndExpnssAmt
Total Net Invst Incm$2,887,513TotalNetInvstIncmAmt
Total Adj Net Incm$55,000TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$101,200CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$25,300CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$75,900CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$199,722OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$32,681OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$150,057OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$36,719PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$1,311PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$35,408PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$7,045LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$1,761LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$5,284LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$21,160AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,290AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$15,870AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$24,359OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$6,090OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$18,269OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$139,336InterestRevAndExpnssAmt
Interest Net Invst Incm$125,693InterestNetInvstIncmAmt
Interest Adj Net Incm$0InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$12,885InterestDsbrsChrtblAmt
Taxes Rev And Expnss$61,299TaxesRevAndExpnssAmt
Taxes Net Invst Incm$56,043TaxesNetInvstIncmAmt
Taxes Adj Net Incm$198TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$5,059TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$247,994DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$247,994DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$7,259OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$1,815OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$5,444OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$128,171OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$77,515OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$22,121OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$25,551OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$974,264TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$548,812TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$55,000TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$349,727TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$573,515ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$573,515ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,547,779TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$548,812TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$55,000TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$923,242TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,464,058ExcessRevenueOverExpensesAmt
Net Investment Income$2,338,701NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$3,875,439SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$4,371,055SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$4,371,055SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$1,729,409AcctRcvblAmt
Acct Rcvbl BOY$942,079AcctRcvblBOYAmt
Acct Rcvbl EOY$1,729,409AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$1,729,409AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$41,695PrepaidExpensesBOYAmt
Prepaid Expenses EOY$45,441PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$45,441PrepaidExpensesEOYFMVAmt
Other Investments BOY$2,382,325OtherInvestmentsBOYAmt
Other Investments EOY$2,786,551OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,786,551OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$11,603,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,104,748LandBldgEquipAccumDeprecAmt
Land BOY$8,847,217LandBOYAmt
Land EOY$8,498,583LandEOYAmt
Land EOYFMV$8,498,583LandEOYFMVAmt
Other Assets BOY$289,122OtherAssetsBOYAmt
Other Assets EOY$281,418OtherAssetsEOYAmt
Other Assets EOYFMV$281,418OtherAssetsEOYFMVAmt
Total Assets BOY$16,377,877TotalAssetsBOYAmt
Total Assets EOY$17,712,457TotalAssetsEOYAmt
Total Assets EOYFMV$17,712,457TotalAssetsEOYFMVAmt
Accounts Payable BOY$64,437AccountsPayableBOYAmt
Accounts Payable EOY$47,473AccountsPayableEOYAmt
Deferred Revenue BOY$70,195DeferredRevenueBOYAmt
Deferred Revenue EOY$70,195DeferredRevenueEOYAmt
Mortgages And Notes Payable BOY$4,812,404MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$4,643,462MortgagesAndNotesPayableEOYAmt
Total Liabilities BOY$4,947,036TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,761,130TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$11,402,949NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$12,914,035NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$27,892DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$37,292DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$11,430,841TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$12,951,327TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$16,377,877TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$17,712,457TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,430,841TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,464,058ExcessRevenueOverExpensesAmt
Other Increases$56,428OtherIncreasesAmt
Subtotal$12,951,327SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$12,951,327TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$32,508InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$32,508SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$32,508TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$16,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$35,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$51,000TotalPaymentsAndCreditsAmt
Es Penalty$69EsPenaltyAmt
Overpayment$18,423OverpaymentAmt
Applied To ES Tax$18,423AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.HOWARDFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksARNIE MELLOIndividualWithBooksNm
Phone7074592777PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1THREE MARCELA DRIVE SUITE AAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ARNIE MELLO
THREE MARCELA DR STE AWILLITSCA95490EXECUTIVE DIRECTOR40.00$101,200$0$0
MARGIE HANDLEY
THREE MARCELA DR STE AWILLITSCA95490PRESIDENT16.00$0$0$0
WILLIAM BOWEN MD
THREE MARCELA DR STE AWILLITSCA95490VICE PRESIDENT2.00$0$0$0
JANN LAMPRICH
THREE MARCELA DR STE AWILLITSCA95490SECRETARY6.00$0$0$0
TOM HERMAN
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
RICHARD WILLOUGHBY
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TEDD DAWSON MD
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TONY MADRIGAL
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TERRY HANSEN
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
COLONEL MIKE HOWARD
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonMELLISA G BOULEYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1THREE MARCELA DR STE AAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd
FieldValueIRS element (for citing)
TitlePROGRAM MANAGERTitleTxt
Average Hrs Per Wk Devoted To Pos35.00AverageHrsPerWkDevotedToPosRt
Compensation$55,572CompensationAmt
Employee Benefits$0EmployeeBenefitsAmt
Expense Account$0ExpenseAccountAmt
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1COMMONWEALTH GARDEN IS A PROGRAM OF THE FRANK R HOWARD FOUNDATION THAT PROVIDES FRESH, ORGANIC PRODUCE PRIMARILY FOR THE PATIENTS AND EMPLOYEES OF HOWARD MEMORIAL HOSPITAL.Description1Txt
Expenses1$22,121Expenses1Amt
Description2AVENUES TO WELLNESS IS A PROGRAM OF THE FRANK R HOWARD FOUNDATION, WHICH PROVIDES HEALTH AND WELLNESS EDUCATION TO THE PUBLIC, FREE OF CHARGE.Description2Txt
Expenses2$11,315Expenses2Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,544,579AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,900,548AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$13,120,672FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$19,565,799TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$4,188,798AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$15,377,001AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$230,655CashDeemedCharitableAmt
Net Vl Noncharitable Assets$15,146,346NetVlNoncharitableAssetsAmt
Minimum Investment Return$757,317MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$757,317MinimumInvestmentReturnAmt
Tax Based On Investment Income$32,508TaxBasedOnInvestmentIncomeAmt
Total Tax$32,508TotalTaxAmt
Distributable Before Adj$724,809DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$724,809DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$724,809DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$923,242ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$923,242QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$724,809DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$3,498,057ExcessDistributionCyovYr5Amt
Total Excess Distribution Cyov$3,498,057TotalExcessDistributionCyovAmt
Qualifying Distributions$923,242QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$724,809AppliedToCurrentYearAmt
Remaining Distri From Corpus$198,433RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,696,490TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$3,498,057ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$198,433ExcessDistriCyovToNextYrAmt
Excess From Current Year$198,433ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADVENTIST HEALTH HOWARD MEMORIAL (HMH)
ONE MARCELA DRIVEWILLITSCA95490N/APCEQUIPMENT$408,053
CANCER RESOURCE CENTER OF MENDOCINO COUNTY
510 CYPRESS STREET B-200FORT BRAGGCA95437N/APCGENERAL SUPPORT$500
HOWARD COMMUNITY HEALTHCARE FOUNDATION
THREE MARCELA DRIVE SUITE AWILLITSCA95490N/APCHCHF SUPPORT$22,653
HOWARD HOSPITAL INC
THREE MARCELA DRIVE SUITE AWILLITSCA95490N/APCHHI SUPPORT$500
LEADERSHIP MENDOCINO
413 N STATE STREETUKIAHCA95482N/APCCLASS DAY SUPPORT$1,000
MEDSTAR AMBULANCE OF MENDOCINO COUNTY
PO BOX 277UKIAHCA95482N/ATPSPOPLAR STREET UNIMPROVED LOT$134,409
WILLITS KIDS CLUB INC
PO BOX 1845WILLITSCA95490N/APCGENERAL SUPPORT$300
WILLITS ROTARY CLUB
PO BOX 787WILLITSCA95490N/APCVIRTUAL CLAWS FOR A CAUSE, SEABISCUIT THERAPEUTIC RIDING CENTER$500
WILLITS SENIOR CENTER
1501 BAECHTEL ROADWILLITSCA95490N/APCOJC MEDICAL EQUIPMENT LOAN PROGRAM$2,600
WILLITS SOBER GRAD
PO BOX 2277CASPARCA95490N/APCWILLITS SOBER GRAD 2021$500
WILLITS YOUTH FOOTBALL ASSOCIATION
PO BOX 1535WILLITSCA95490N/APCSAFETY HELMETS AND REPLACEMENT EQUIPMENT$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$573,515TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Revenue Dtl ProgramServiceRevenueDtl

FieldValueIRS element (for citing)
DescCOMMONWEALTH GARDENDesc
Related Or Exempt Function Incm$55,000RelatedOrExemptFunctionIncmAmt

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,830ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$347,798ExclusionAmt

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$386,339ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$456,000ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$1,695,546ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescDONATED REAL PROPERTY (INCOME FROM SALE PER BOOK)Desc
Exclusion01ExclusionCd
Exclusion$31,019ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$2,918,532ExclusionAmt
Related Or Exempt Function Incm$55,000RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,973,532TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1ALineNumberTxt
Relationship StatementSUSTAINABLE GARDEN THAT WILL PROVIDE ORGANIC FOOD AND PLACE FOR REJUVENATION, WHILE PROMOTING EDUCATIONAL OUTREACH AND COMMUNITY HEALTH AWARENESS WITHIN A HOSPITAL SETTING.RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1SPARETIME SUPPLY INCBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1475 E SAN FRANCISCO AVENUEAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd
FieldValueIRS element (for citing)
Total Contributions$20,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$21,160Amt
Net Investment Income$5,290NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$15,870DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (78 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRtRtRt
HUMMEL LAND2006-02-26$120,000L$0$0$0
OLD HOSPITAL - LAND1927-01-01$15,626L$0$0$0
LAND SURVEYING2001-03-30$6,500L$0$0$0
RAMP SIDEWALK, ETC1970-05-01$5,506SL$0$0$0$5,50610.000000000000
SPRINKER SYSTEM1975-08-01$6,720SL$0$0$0$6,72010.000000000000
SOUTH DECK1981-10-01$1,652SL$0$0$0$1,65220.000000000000
COMMONWEALTH GARDEN LAND2014-04-01$155,511L$0$0$0
COMMONWEALTH GARDEN LI2014-04-01$121,143SL$8,076$0$8,076$50,47515.000000000000
WEA LAND2004-03-16$400,000L$0$0$0
WEA RAILROAD LAND2010-12-31$12,117L$0$0$0
MADRONE STREET LOT2003-07-01$103,390L$0$0$0
PARKING LOT PAVEMENT - EAST CAMPUS2015-06-11$8,500SL$567$0$567$2,92815.000000000000
CW GARDEN WELL2015-10-26$7,701SL$513$0$513$2,22515.000000000000
PARCEL 3 - MOB (2.89 AC)2003-03-26$83,692L$0$0$0
PARCEL 1 - AUD/DORM (8.04 AC)2003-03-26$232,831L$0$0$0
PARCEL 4 - H&W (3.08 AC)2003-03-26$89,194L$0$0$0
PARCEL 2 - HMH (7.10 AC)2003-03-26$205,610L$0$0$0
PARCEL 4 - H&W FEASIBILITY STUDY2010-11-05$10,150L$0$0$0
PARCEL 2 - HMH LAND IMPROVEMENTS2010-12-31$764,857L$0$0$0
PARCEL 2 - HMH RAILROAD CROSSING2013-02-05$12,330L$0$0$0
HMH SEABISCUIT STATUE2017-03-14$146,000NC$0$0$00.000000000000
COMMONWEALTH GARDEN LI-20X30 METAL BLDG2018-09-06$5,026SL$251$0$251$58620.000000000000
CW GARDEN ADA COMPLIANT WALKWAY2018-03-21$3,200SL$213$0$213$58715.000000000000
CW GARDEN ADA COMPLIANT WALKWAY2018-06-01$3,000SL$200$0$200$51715.000000000000
PARKING PAVING2019-06-18$6,500SL$433$0$433$65015.000000000000
BUILDING#1 HOSPITAL1928-05-01$37,125SL$0$0$0$37,12540.000000000000
IMPROVEMENT - AIR CONDITIONING1938-04-01$5,632SL$0$0$0$5,63240.000000000000
IMPROVEMENT - INSULLATION1948-01-01$2,070SL$0$0$0$2,07025.000000000000
REMODEL - RADIOLOGY1948-01-01$55,923SL$0$0$0$55,92340.000000000000
REMODEL - BASEMENT1949-02-01$1,964SL$0$0$0$1,96425.000000000000
REMODEL - LINE & PERSONNEL1949-10-01$750SL$0$0$0$75040.000000000000
REMODEL - RADIOLOGY1955-10-01$69,084SL$0$0$0$69,08440.000000000000
REMODEL - PHYSICAL THERAPY1955-11-01$724SL$0$0$0$72440.000000000000
NEW WING - WASHROOM1959-06-01$7,542SL$0$0$0$7,54240.000000000000
REMODEL - RADIOLOGY OFFICE1960-02-01$9,945SL$0$0$0$9,94540.000000000000
NEW WING - NURSING1970-05-01$228,934SL$0$0$0$228,93440.000000000000
NEW WING - SURGERY & LAB1980-08-01$152,841SL$0$0$0$152,84125.000000000000
REMODEL - ICU1981-09-01$63,350SL$0$0$0$63,35020.000000000000
REMODEL - XRAY1982-04-01$25,551SL$0$0$0$25,55120.000000000000
NEW WING - MEDICAL RECORDS & CONFERENCE ROOM1983-04-01$93,251SL$0$0$0$93,25120.000000000000
REMODEL - FRONT OFFICE1984-05-01$9,149SL$0$0$0$9,14920.000000000000
REMODEL - EMERGENCY1985-04-01$17,342SL$0$0$0$17,34220.000000000000
IMPROVEMENT - REPAINT EXTERIOR1985-08-01$3,825SL$0$0$0$3,8255.000000000000
REMODEL - OLD EMERGENCY EXIT1986-04-01$10,303SL$258$0$258$8,95140.000000000000
REMODEL - CHAPEL1986-07-01$2,106SL$53$0$53$1,81640.000000000000
SMALLEY CENTER1977-11-01$78,560SL$0$0$0$78,56025.000000000000
REMODEL SMALLEY CENTER1985-11-01$1,827SL$46$0$46$1,60640.000000000000
HOSPITAL ASBESTOS ABATEMENT2000-10-01$383,155SL$9,579$0$9,579$193,97240.000000000000
HUMMEL BUILDING2006-02-26$178,000SL$7,120$0$7,120$110,36025.000000000000
WEA BUILDING2004-03-16$405,668SL$10,142$0$10,142$299,05240.000000000000
WEA BUILDING REMODEL2004-03-16$128,105SL$6,405$0$6,405$107,82220.000000000000
WEA PARKING DEVELOPMENT2005-01-18$11,610SL$298$0$298$4,76339.000000000000
WEA ENGINEERING2005-06-15$8,663SL$433$0$433$4,30620.000000000000
WEA BUILDING ADDITIONS2006-11-01$168,012SL$8,401$0$8,401$118,89120.000000000000
WEA REMODEL2007-07-01$318,133SL$15,907$0$15,907$214,90020.000000000000
NEW HOSPITAL MOB2016-05-31$6,349,091SL$158,727$0$158,727$793,78940.000000000000
AIR CONDITIONER1974-04-01$2,339SL$0$0$0$2,33910.000000000000
BOILER COV TO GAS1973-05-01$2,074SL$0$0$0$2,07415.000000000000
CABINETS (SURGERY)1980-08-01$3,950SL$0$0$0$3,95025.000000000000
LIGHT, EXAM ROOM1985-01-01$1,097SL$0$0$0$1,09710.000000000000
LIGHT, EXAM ROOM1985-01-01$1,097SL$0$0$0$1,09710.000000000000
ROUND TREE GLASS - FOR DESKS2005-10-31$353SL$0$0$0$3535.000000000000
MENDO LAKE OFFICE - DESKS & FILE CABINETS2005-11-07$2,646SL$0$0$0$2,6465.000000000000
SOLAR PANEL2008-04-22$3,937SL$197$0$197$2,49320.000000000000
DELL COMPUTER2012-08-22$1,667SL$0$0$0$1,6675.000000000000
COPIER2012-11-21$3,927SL$0$0$0$3,9275.000000000000
DELL COMPUTER2015-10-30$1,641SL$219$0$219$1,4225.000000000000
DELL COMPUTER XPS2015-12-02$3,332SL$555$0$555$2,7775.000000000000
TELECOM PANASONIC PHONE SYSTEM2016-02-17$5,308SL$177$0$177$5,1315.000000000000
LAPTOP2016-03-21$2,198SL$110$0$110$2,0885.000000000000
NETWORK2016-04-27$1,273SL$85$0$85$1,1885.000000000000
DODGE TRUCK FOR GARDEN2015-10-01$3,950SL$395$0$395$3,5555.000000000000
99 GMC 150C2017-12-31$2,500SL$500$0$500$1,5005.000000000000
18 KUBOTA TRACTOR2018-02-21$32,294SL$6,459$0$6,459$18,3005.000000000000
HONDA 3000 GENERATOR2019-06-28$2,167SL$433$0$433$6495.000000000000
HUMMEL BUILDING REMODEL2020-06-30$217,517SL$10,876$0$10,876$4,53220.000000000000
CIP HMH OLD HOSPITAL2017-12-31$55,386SL$0$0$00.000000000000
HP Z2 COMPUTER2021-05-06$2,744SL$366$0$3665.000000000000

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CAPITAL APPREC. FUND CLASS AFMV$493,400$493,400
GLOBAL FUND CLASS AFMV$688,752$688,752
MAIN STREET FUND CLASS AFMV$524,266$524,266
MAIN ST. OPTY FUND CLASS AFMV$467,904$467,904
GLOBAL ALLOCATION (QUEST)FMV$246,591$246,591
STRATEGIC INCOME FUND CLASS AFMV$365,638$365,638

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (6 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
BUILDINGS$9,045,752$2,956,567$6,089,185
FURNITURE & FIXTURES$10,557$10,557$0
LAND$2,423,366$82,099$2,341,267
MACHINERY & OTHER EQUIPMENT$27,359$23,734$3,625
TRANSPORTATION EQUIPMENT$40,911$31,791$9,120
OTHER$55,386$0$55,386

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$7,045LegalFeesAmt
Net Investment Income$1,761NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$5,284DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
NET DEBT ISSUANCE COSTS$154,122$146,418$146,418
PROGRAM-RELATED INVESTMENTS$135,000$135,000$135,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (17 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ADVERTISING AND PROMOTION$485$0$0$485
AMORTIZATION-MOB SQUARE FOOTAGE$7,704$7,704$0$0
ATW EXPENSES$4,303$0$0$4,303
BANK FEE$120$30$0$90
COMMONWEALTH GARDEN EXPENSES$22,121$0$22,121$0
DUES AND SUBSCRIPTIONS$314$79$0$235
EQUIPMENT LEASE$1,104$276$0$828
FEES$150$38$0$112
FUNDRAISING EXPENSES$221$0$0$221
HOSPITAL BUILDING EXPENSES$43,819$43,819$0$0
HUMMEL ESTATE EXPENSES-ATW PROGRAM$7,012$0$0$6,435
INSURANCE$25,609$19,266$0$3,937
MISCELLANEOUS EXPENSES$1,605$401$0$1,204
OFFICE SUPPLIES$8,258$2,065$0$6,193
POSTAGE & DELIVERY$349$87$0$261
WEA BUILDING EXPENSE$3,334$3,334$0$0
OUTSIDE SERVICES$1,663$416$0$1,247

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
ROYALTY INCOME$1,695,546$1,695,546$0
COMMONWEALTH GARDEN$55,000$55,000
DONATED REAL PROPERTY (INCOME FROM SALE PER BOOK)$31,019$0

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$56,428Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryAPPRAISAL FEESCategoryTxt
Amt$24,359Amt
Net Investment Income$6,090NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$18,269DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROPERTY TAX$47,572$42,316$198$5,059
TAXES & LICENSES$13,727$13,727$0$0

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.